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ET oe eee Se
RESOR LOMBOK TIMUR
slalan Sayid Saleh 1 Solona 83612
ah
CY
POLICE RECORD
Nomor : SKCK/YANMAS/24177/IIUYAN 2.3/2023/INTELKAM
Diteranakan bersama ini bahwa :
This isto certify that
Nema HAMDAN SYAKIRIN-
Name Ka
Joni Kelamin Hepes
Sex
Kebangsaan
Nationality INDONESIA
Agama ivan
Religion
‘Tempat dan tal lahie SePTEr
Place and date of birth APITAIK, 29 MBER 2002
‘Tempat tinggal sekarang GUBUK PANDE RT 002, RW 001, DESAAPITAIK, KEC. PRINGGABAYA,
Current address KAB. LOMBOK TIMUR, PROV. NUSA TENGGARA BARAT
Pekeriaan
Occupation
‘Nomor Kartu Tanda Penduduls 308200:
Citizen card number nae jooaogad
Nomor Paspor/ KITAS! KITAP*
Passport/ KITAS/ KITAP number
Rumus sidik jar
Fingerprints Formula 8 2 R rH
‘As of screening through the issue here of by vitue of
Catatan Kepolisian van ada;
Existing Pole record
the bearer here of proves not to be involved in any criminal cases
‘selama ia berada di Indonesia dari
uring hisher stay in Indonesia from _° 28 SEPTEMBER 2002
ean 25 MARET 2023
request
MELAMAR PEKERJAAN DI DALAM NEGERI
For the purpose
veoer 25 MARET 2023
‘Sampai dengan
fan 25 SEPTEMBER 2023
Dikeluarkandi : Selong
Issued In
Pada tanggal : 25 MARET 2023
On
1 tha ture ie concamed
involved in the crimes
\volatons’ SKCK ie declared
meer